Intermediate Outcomes after Rapid Deployment Aortic Valve Replacement in Multiple Valve Surgery
| Autor: | Matthias Bechtel, Justus T. Strauch, Peter L. Haldenwang, Markus Schlömicher, V. Moustafine, Hamid Naraghi, Z. Taghiyev |
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| Rok vydání: | 2019 |
| Předmět: |
Male
Pulmonary and Respiratory Medicine medicine.medical_specialty Time Factors Valve surgery medicine.medical_treatment Operative Time Heart Valve Diseases 030204 cardiovascular system & hematology Actuarial survival law.invention 03 medical and health sciences Postoperative Complications 0302 clinical medicine Aortic valve replacement Risk Factors law medicine Cardiopulmonary bypass Humans Aged Heart Valve Prosthesis Implantation Mitral valve repair business.industry Hemodynamics Mitral valve replacement Recovery of Function Middle Aged medicine.disease Surgery Cardiac surgery Treatment Outcome 030228 respiratory system Aortic Valve Heart Valve Prosthesis Concomitant Mitral Valve Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | The Thoracic and Cardiovascular Surgeon. 68:595-601 |
| ISSN: | 1439-1902 0171-6425 |
| DOI: | 10.1055/s-0039-1685178 |
| Popis: | Background Multiple valve surgery is associated with significant higher operative risks. Reduced cross-clamp and cardiopulmonary bypass times in multiple valve surgery may potentially be beneficial as they can be considered independent risk factors for increased morbidity and mortality following cardiac surgery. We report first intermediate outcomes of the Edwards Intuity valve system (Edwards Lifesciences, Irvine, California, United States) in combined procedures Methods Fifty-eight patients underwent rapid deployment aortic valve replacement with concomitant mitral valve surgery between January 2014 and November 2017 in our institution. The valve was assessed echocardiographically after 12 months. The median follow-up was 1.7 years with a cumulative follow-up time of 115.3 patient years. Results The mean age was 73.5 ± 6.2 years and the mean logistic Euroscore was 11.6 ± 3.1%. Concomitant mitral valve repair was performed in 43 cases (74.1%), and mitral valve replacement in 15 cases (19.0%). The mean cross-clamp time was 93 ± 21 minutes along with a mean bypass time of 118 ± 24 minutes. All-cause mortality after 30 days was 8.6%. Overall actuarial survival at 1 year was 87.2 ± 4.5% and after 2 years 82.8 ± 5.3%, respectively. Conclusions Rapid deployment aortic valve replacement in multiple valve surgery can be performed safely with good intermediate outcomes in elderly, high-risk patients. |
| Databáze: | OpenAIRE |
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